Doctor Name: | MRS. BRANDY NICHOLLE SARGENT |
NPI Number: | 1003172032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 500 N Meridian Ave #304 Oklahoma City, OK - 731075700 |
Business Phone Number: | 4056017367 |
Business Fax Number: | |
Mailing Address: | 106 Dove Holw, MIDWEST CITY |
State: | OK |
Postal Code: | 731104121 |
Phone Number: | 4056102153 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2012 |
NPI Last Update Date: | 04/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |